Provider Demographics
NPI:1881899409
Name:PEAK PHYSICAL THERAPY OF BROOKLYN, PLLC
Entity type:Organization
Organization Name:PEAK PHYSICAL THERAPY OF BROOKLYN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-258-6699
Mailing Address - Street 1:2232 BRIGHAM ST
Mailing Address - Street 2:APT. #3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6141
Mailing Address - Country:US
Mailing Address - Phone:718-368-2571
Mailing Address - Fax:
Practice Address - Street 1:3131 KINGS HWY
Practice Address - Street 2:SUITE A5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2644
Practice Address - Country:US
Practice Address - Phone:718-258-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty